Capitated Medicaid Managed Care in a Rural Area: The Impact of Minnesota's PMAP Program

Autor/inn/en	Long, Sharon K.; Coughlin, Teresa A.; King, Jennifer
Titel	Capitated Medicaid Managed Care in a Rural Area: The Impact of Minnesota's PMAP Program
Quelle	In: Journal of Rural Health, 21 (2005) 1, S.12-20 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0890-765X
DOI	10.1111/j.1748-0361.2005.tb00057.x
Schlagwörter	Access to Health Care; Costs; Counties; Health Facilities; Children; Rural Areas; Minnesota + Suchen Sie Ihr Suchwort? Cost; Kosten; Gesundheitszentrum; Child; Kind; Kinder; Rural area; Ländlicher Raum
Abstract	Although states have had difficulty extending Medicaid managed care (MMC) to rural areas, rural models of capitated MMC are expected to grow in response to new federal regulations and the serious budget problems facing nearly all states. As such, understanding the effects of capitated MMC in rural settings is important for policy considerations. To evaluate the effects of capitated MMC on beneficiary access and use in rural Minnesota. We took advantage of delays in the timing of the introduction of MMC across rural counties in Minnesota to estimate the effects of managed care on adults and children under Medicaid using a difference-in-differences framework. We found that Minnesota's shift from fee-for-service Medicaid to MMC in its rural counties had little effect on access to health care for either adults or children. Because Minnesota reports that Medicaid costs under MMC are below expected costs under FFS Medicaid, it appears that the primary accomplishment of Minnesota's rural MMC initiative is one of cost savings: MMC provides the same access to care as FFS Medicaid, but at lower cost. With steep budget deficits in nearly all states, other states may want to consider Minnesota's rural MMC model as a mechanism for reducing their Medicaid costs. (Author).
Anmerkungen	National Rural Health Association, One West Armour Blvd, Ste 203, Kansas City, Mo. 64111.
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10